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Dyspnea, Pneumothorax - Coggle Diagram
Dyspnea
Others
Allergy
No Allergy history
Psychological
No History
Shock
Hypertension
Metabolic Acidosis
ABG (7,49)
Pulmonary
Asthma
No history
COPD
No history
Pulmonary Edema
No history of DVT
Pneumothorax
Lung edge
Cardiovascular
Cor Pulmonale
No jugular vein distension
Valve Defomity
No arrytmia
Myocardial Infraction
No radiated pain
Neoplasm
Metastasis Cancer
No systemic problem
Lung Cancer
No mass and nodule
Oropharyngeal Cancer
No difficulty of swallowing
Neurology
Guillain Barre Syndrome
Patella effect normal
Myasthenia Gravis
No ptosis
Acute (Below 1 month)
Pneumothorax
Treatment
Chest tube
Needle aspiration
Treat underlaying disease
2RHZE
Antiretroviral Therapy
Supportive treatment
Diagnostic Approach
Lab Ex
Gene Xpert
CD4
Below 29%
CBC/ABG
Imaging Ex
X-Ray (Lung Edge)
Anamnesis
Physical Ex
Hyperresonance
Decreased Fremitus
Complication
Respiratory Failure
Fibrotoraks
Extrapulmonary TB
Tension pneumothorax
Risk Factors
Active smoker
COPD
Valsava maneuver
TB
Prevention & Education
Prevention
Stop Smoking
Avoid High Risk Activities
Detect early stage of TB and monitoring
Collaborative treatment
Education
Understanding SSP in TB-HIV Coinfection
Importance of Treatment Adherence and Adverse Effects
Lifestyle Modifications
Type
Primary
Secondary
Pathophysiology
MTB
Formation Of Granuloma (Latent TB)
Reactive TB (Active TB)
Granuloma necrosis cause the spread of MTB (Pulmonary TB)
Progressive structural lung damage
(blebs & bullae)
Rupture
Lung remodeling & fibrosis
Decrease lung elasticity reduce the lung compliance
1 more item...
Secondary spontaneous pneumothorax
Shortness of breath
1 more item...
Chronic inflammation
Alveoli obstruction
HIV
Immunocomprimised
Prognosis
The prognosis of SSP in TB-HIV patients is generally poor, with high mortality (30–60%).